*. PERSONAL DETAILS
Surname : SHARMA
First Name : AMULYA
Middle Name : LAXMICHAND
Nationality : INDIAN
Date of Birth : 28/02/1994
Place of Birth : CHANDIGARH
Weight (kg) : 85
Height (cm) : 185
BMI : 24.79
Post Applied for :
TRAINEE MARINE ENGINEER
Permanent Address : H NO – 3250 SECTOR – 70 MOHALI, PUNJAB
Present Address : H NO – 3250 SECTOR – 70 MOHALI, PUNJAB
PIN Code: 160071
Nearest Airport: CHANDIGARH
PIN Code: 160071
Tel No / Mobile No: 784*******
Tel No / Mobile No: 784*******
Email ID: **************@*****.***
2. PASSPORT DETAILS
Passport No.
Date of Issue
Place of Issue
Date of Exp.
ECNR
Blank Pages
L3986135
01/08/2013
Chandigarh
31/07/2023
31
3. CONTINUOUS DISCHARGE CERTIFICATE / INDOS
Seaman’s Book (CDC)
Number
Date of Issue
Place of Issue
Expiry Date
Remark
INDIAN
MUM248402
07/05/2015
MUMBAI
06/05/2025
INDOS
11EL2280
25/07/2011
MUMBAI
4. FAMILY INFORMATION
Full Name of Next of Kin : LAXMI CHAND SHARMA
Relationship : FATHER
Address of Next of Kin: H NO – 3250 SECTOR – 70 MOHALI, PUNJAB
Tel No. : 977-***-****
Family Data
Name
Occupation
Contact Number/e-mail ID
Father
LAXMI CHAND SHARMA
CIVIL ENGINEER
Mother
URMILA SHARMA
TEACHER
Brother/Sister
ADITYA SHARMA
COMP. ENGINEER
5. ACADEMIC QUALIFICATION
QUALIFICATION
YEAR OF PASSING
PERCENTAGE
PCM
PERCENTAGE
BOARD / UNIVERSITY
B.TECH MARINE
2015
72.39
Y.C.M.O.U
H.S.C.
2011
72.6
72
PUNJAB BOARD
S.S.C.
2009
75
CBSE
6. DETAILS OF B.TECH (MARINE) COURSE:
SEMESTER
PERCENTAGE
AVERAGE %
SEMESTER 1
75.5
72.39
SEMESTER 2
70.83
SEMESTER 3
75.5
SEMESTER 4
71.83
SEMESTER 5
66.33
SEMESTER 6
72.16
SEMESTER 7
72.16
SEMESTER 8
74.83
7. STCW AND OTHER COURSES
Details of Courses & Certificates
Number
Dt. Of Issue
Pl. of Issue
Issued by
Advanced / Basic Fire Fighting
18/08/2015
MUMBAI
SCI (MTI)
Proficiency in Survival Craft / Rescue Boat / PST / PSC RB Up gradation
18/08/2015
MUMBAI
SCI (MTI)
Elementary / Medical First Aid / Medicare
D372993F2E5A12BD
12/07/2014
MUMBAI
NAMAC
Personal Safety & Social Responsibility (PSSR)
85F28AB92F5910E4
16/07/2014
MUMBAI
NAMAC
OIL Tanker Familiarization
OTF/05/15/042
24/07/2015
MUMBAI
MASSA MARITIME ACADEMY
Chemical Tanker Familiarization
CTF/05/15/045
31/07/2015
MUMBAI
MASSA
Gas Tanker Familiarization
GTFC/04/24/2015
19/06/2015
MUMBAI
YAK
(Security Training For Seafarers With Designated Security Duties) STSDSD
MANET/STSDSD/127/2015
25/08/2015
PUNE
MANET
HOBBIES AND INTERESTS-
8. OTHER CERTIFICATES
Sr.No.
Details of the Certificates
01
GOLD MEDAL IN THE ‘ALL INDIA UNIVERSITY ROWING GAMES 2014’, KOLKATA
02
WON A GOLD MEDAL IN THE 29TH MAHARASHTRA STATE ROWING CHAMPIONSHIP
02
REPRESENTED ‘THE STATE OF MAHARASHTRA IN THE NATIONAL GAMES 2015’, KERALA
03
GOLD MEDAL IN NATIONAL LEVEL ENGINEERING SPORTS MEET “SUMMIT”
04
‘BEST SPORTS PERSON OF THE YEAR 2013-14 AND 2014-15’
9. DECLARATION
I hereby affirm that all the information provided by me in this application is true and correct to the best of my knowledge and belief; further, that no Certificate issued to me has ever been Revoked or Suspended.
Date :20/08/15 Name : AMULYA SHARMA